Post Applied For::: Annexure-I
Post Applied For::: Annexure-I
Please paste a
Recent,
self
attested
Passport size
Photograph
: _________________________________________________
2. Date of Birth
:__________________
3. SC/ST/OBC /PH/Others
:________
4. Fathers Name
:__________________________________________________
5. Mailing Address
:___________________________________________________
______________________________________________
___________________________________________
6. Contact Details
7. Permanent Address
: ....
..
.
...
. .
Contd..2
:2:
Sl.
No
Qualification
Duration
of Course
Year of
Passing
%
Marks
University
Whether
recognized
Contd..3
:3:
9.
Name
of
Employer
: Yes / No
Contd..4
:4:
11. Visible Identification Marks:
(i)..(ii).
12. Details of D.D
13. DECLARATION:
I do hereby declare that the facts and information given by me in the above application
are true, complete and correct to the best of my knowledge and belief. In the event of
any discrepancy in the particulars being detected at any stage, my candidature /
service may be cancelled / terminated without any notice.
Date:
Place:
14.
Date:
Note:
1. Please sign across the photo pasted on the first page of Application form.
2. The Candidate is required to fill up all the columns. Application will be
rejected if any column is left blank, not filled or incomplete. No further
correspondence will be entertained.
3. Ensure that the mobile no. and email ID are correct and valid for one
year.
4. If space is inadequate for any column, use separate sheet(s).
5. If the percentage of marks/ any other data entered by the candidate is
found incorrect, the company reserves the right to reject the application.
6. Self-attested photocopies of all the applicable certificates.
7. Kindly attach the certificates in the same order as given in the checklist
below.
Check List
Sl
Enclosures
No
1
Date of Birth Certificate
Attached
YES
NO
YES
NO
Not Applicable
PWD Certificate
YES
NO
Not Applicable
YES
NO
Not Applicable
Ex-Serviceman
YES
NO
Not Applicable
YES
NO
YES
NO
YES
NO
YES
NO
Not Applicable
10
Certificate of educational/
professional
Qualification along with marksheets of all the years
Experience Certificate from
previous employer(s)
Appointment Letter and last
months Salary Slip of current
organization
NOC in case of Govt./Semi
Govt./PSU/Autonomous Body
(if applicable)
Extra-Curricular Activities
YES
NO
Not Applicable
11
YES
NO
Not Applicable
12
7
8
Not Applicable